CN1589124A - Orthodontic appliance contraction connector - Google Patents

Orthodontic appliance contraction connector Download PDF

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Publication number
CN1589124A
CN1589124A CNA028231325A CN02823132A CN1589124A CN 1589124 A CN1589124 A CN 1589124A CN A028231325 A CNA028231325 A CN A028231325A CN 02823132 A CN02823132 A CN 02823132A CN 1589124 A CN1589124 A CN 1589124A
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China
Prior art keywords
sheath
bar
adapter
spring
eye
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Granted
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CNA028231325A
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Chinese (zh)
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CN100346752C (en
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迈克尔·O·威廉姆斯
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/10Devices having means to apply outwardly directed force, e.g. expanders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/36Devices acting between upper and lower teeth

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  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

A contracting connector between a maxillary apparatus and mandibular apparatus to treat an underbite. The connector has a telescoping outer sheath connected at its posterior end to the maxillary apparatus. A rod is slidingly engaged in the sheath. And connected at its anterior end to the mandibular apparatus. A spring connected between the rod and the posterior end of the sheath exerts adjustable contraction pressure on the rod and thus the mandible. In another embodiment, the rod has separate anterior and posterior segments The posterior segment of the rod is attached to the maxillary apparatus and the anterior segment is attached to the mandibular apparatus A spring connected between the anterior and posterior segments exerts adjustable contracting pressure on the two rod segments and thus on the maxilla and the mandible. In either embodiment the contracting pressure on the spring is adjusted by changing the length of the telescoping outer sheath. An improved channel lock for connectors also is disclosed.

Description

Orthodontic appliance shrinks adapter
Technical field
The present invention relates generally to a kind of just abnormal device, particularly relate to a kind of improved anti-jaw (underbite) that is used for the treatment of, especially the device of the wrong jaw of III class (Class III malocclusion).
Background technology
The situation that the wrong jaw of III class takes place in the Caucasian is 4%, but quite general in the ethnic group of Asia.Usually, adult or teenage patient correct wrong jaw of III class or anti-jaw by the chirurgia orthodontica operation, and this operation need be broken jawbone by operation, and moves forward upper jaw bone or mobile backward mandibular bone, and perhaps the both moves.Therefore, it is very favorable providing a kind of just abnormal device that can avoid carrying out anti-jaw operation on oral cavity, that be used to correct older or teenage patient.
Summary of the invention
In this application, provide a kind of new (affachment) contraction sheath adapter between upper jaw bone and mandibular bone that is used for fixing, shunk sheath and can be connected between maxillary molar or upper jaw appliance and the lower jaw appliance.
Described contraction sheath comprises hollow rear portion pipe, hollow front pipe and extend through the bar of described two pipes.Described anterior pipe and rear portion pipe can make the entire length of this sheath that advances selectively to change by being threaded.Front end at the rear portion pipe provides a kind of fixture, is used for that pivot is managed at the rear portion and is fixed on a tooth band.Provide another kind of fixture in the rear end of described bar, be used for described bar pivot axle is connected to the second tooth band.A spring also is provided, and frame is between the front end of the front end of described anterior pipe and described rear portion pipe.Described spring promotes anterior pipe backward with respect to the rear portion pipe, and with the pressure of compensation jaw, and the pressure that helps to prevent jaw passes anterior pipe backward.
In one embodiment, pipe outside, described rear portion is shaped on screw thread, and described anterior pipe inside is shaped on screw thread.In this embodiment, described spring is managed around the rear portion with axle journal supporting (journaled).Described rear portion manages forwardly that terminal the place ahead of pipe is provided with stop, and described spring is located between the front end of the stop of rear portion pipe and anterior pipe.In second embodiment, pipe inside, described rear portion is shaped on screw thread, and described anterior pipe outside is shaped on screw thread.In this embodiment, described spring is accommodated in the pipe of hollow rear portion, and with the axle journal support ring around described bar.
Described expansion association comprises shell and advancement component, and these parts are scalable to be contained in the shell.Described two parts of expanding association are contained in the relative two halves that are attached to mandibular arch or maxillary plate.
Described shell comprises sidewall, top, bottom, rear portion and the front portion of opening wide.Form passage in cover top portion, and extend back from the front portion of described shell.Screw rod extends forward below passage from the rear wall of described shell, so that can pass through passage.At least one cylinder (being preferably two cylinders) is parallel to the screw rod extension from the rear wall of described shell.Advancement component comprises sidewall, bottom, top, and antetheca.The size and dimension of described advancement component is set to slide and is contained in the shell.Passage is formed on the top in advancement component, and this passage extends back from described antetheca.The advancement component passage is aimed at outer shell passage.
Move described advancement component, have a traveling nut to be contained on the screw rod by screw thread.Described nut can pass passage, and moves along screw rod by rotating this nut.Movable wing has first plate and second plate, and the former slidably is contained on the screw rod of traveling nut front, and the latter slidably is contained on the described cylinder.Described first and second plates can be operated and be connected to each other, and the mobile of described traveling nut make described first plate move, thereby make second plate move with respect to shell and described advancement component.Spring uses the axle journal support ring around the cylinder between movable wing second plate and the advancement component antetheca.When described spring was compressed, it was just exerted pressure to described dental arch effectively, forced described expansion of the arch.
Provide guider, so that described advancement component is moved with respect to described shell.The groove part of described shell and described advancement component is limited by skew wall, and the skew wall of the skew wall of described advancement component passage and described shell passage is adjacent.In addition, on the lower surface of described advancement component groove is set, and forms corresponding rib on the inner surface of described shell bottom, described rib and groove interact, and skew wall also interacts, the guiding device that moves as described advancement component.
Description of drawings
Fig. 1 is the perspective view of mandibular and maxillary arch expanders and maxillary arch expander, shown in upper and lower jaw arch expander device be fixed on the mould and and couple together by telescopic assembly;
Figure 1A is the bottom plan view of maxillary arch expander, and it is used with its telescopic assembly of adorning and is fixed on the mould;
Figure 1B is the top plan view of mandibular and maxillary arch expanders, and it is used with its telescopic assembly of adorning and is fixed on the mould;
Fig. 1 C is the top plan view similar to Figure 1B, but has another mandibular and maxillary arch expanders;
Fig. 1 D is the top plan view of lower molar gap-closing device (mola rspace closer), and it can use with telescopic assembly;
Fig. 2 is the facade side elevation in described telescopic components cross section;
Fig. 3 is the planar elevation view of described telescopic assembly;
Fig. 4 is the facade side elevation of described telescopic assembly bar;
Fig. 5 is the facade front view of described bar;
Fig. 6 is the facade side elevation of described telescopic module back pipe;
Fig. 7 is the facade dorsal view of described rear portion pipe;
Fig. 8 is the facade side elevation of the anterior pipe of described telescopic assembly;
Fig. 9 is the front end elevation of described anterior pipe;
Figure 10 is the rear end elevation of described anterior pipe;
Figure 11 be in the prior art pivot fixed clamp device assembly (boss assembly) and in be inserted with the orthodontic band exploded view of the rectangular tube that holds arch wire;
Figure 12 is the perspective view of pivot fixed clamp device assembly in Figure 11 prior art, and this assembly is connected on the orthodontic band by the interior rectangular tube that holds arch wire that is inserted with;
Figure 13 is the improved pivot fixed clamp device assembly perspective view that the present invention is connected to orthodontic band;
Figure 14 is improved pivot fixed clamp device assembly top plan view;
Figure 15 is to use the top plan view of another mandibular and maxillary arch expanders partial cross section of telescopic assembly;
Figure 16 is the enlarged cross-sectional view of the telescopic assembly of Figure 15;
Figure 17 is the telescopic assembly viewgraph of cross-section among Figure 16, and wherein said telescopic assembly is provided with disc spring.
Figure 18 is the telescopic assembly viewgraph of cross-section similar to Fig. 2, but is fit to comprise disc spring;
Figure 19 is the facade side elevation of another embodiment of described telescopic assembly bar.
Figure 20 is the facade front view of described bar;
Figure 21 is another embodiment facade dorsal view of described rear portion pipe.
Figure 22 is another alternative embodiment facade side elevation of described telescopic assembly bar;
Figure 23 is the facade front view of described bar;
Figure 24 is that another alternative embodiment facade dorsal view is managed at described rear portion;
Figure 25 is another alternative embodiment facade side elevation of described telescopic assembly bar;
Figure 26 is the facade front view of described bar;
Figure 27 is another alternative embodiment facade dorsal view of described rear portion pipe;
Figure 28 is the facade side elevation of described telescopic another embodiment of assembly, and it can compensate the jaw pressure that causes that described telescopic assembly passes through backward;
Figure 29 is the facade side elevation of another embodiment partial cross section of the telescopic assembly of Figure 28;
Figure 30 is the further embodiment plane graph that cabinet is arranged and be fixed on the maxillary arch expander in the patient oral cavity;
Figure 31 is the plane graph of described expansion of the arch device;
Figure 32 cuts open the described expansion of the arch device viewgraph of cross-section of getting along Figure 31 line 32-32;
Figure 33 cuts open the described expansion of the arch device viewgraph of cross-section of getting along Figure 32 line 33-33;
Figure 34 A is the new contraction sheath adapter exploded view of the present invention;
Figure 34 B is the facade side elevation of the contraction sheath adapter among Figure 34 A;
Figure 35 A is the facade side elevation of two parts bar of new another embodiment of contraction sheath adapter of the present invention;
Figure 35 B represents two inner shaft sections of described two parts bar, does not have spring;
Figure 35 C is the facade side-looking exploded view of described sheath parts, and these sheath parts are contained in the present invention to described two parts bar and shrink in the sheath adapter;
Figure 36 is the viewgraph of cross-section that the sheath adapter is shunk in Figure 35 A and 35B combination;
First or original position when Figure 37 represents that the present invention shrinks the sheath adapter and uses;
Second or end position when Figure 38 represents that the present invention shrinks the sheath adapter and uses;
Figure 39 is the present invention of the passage latch fitting that comprises that the present invention is new sheath facade side elevation that advances; With
Figure 40 cuts open the viewgraph of cross-section of getting along Figure 39 line 40-40;
In the different graphic of described accompanying drawing, all use corresponding Ref. No.;
The specific embodiment
Describe the present invention in detail below by example rather than restriction.This explanation will clearly enable those skilled in the art to implement and use the present invention, and modifications and variations of the present invention are described, comprise that the inventor thinks at present what is to realize best mode of the present invention.
Get back to Fig. 1-1B of beginning, shown in a kind of orthodontic appliance 1 of the present invention be fixed in the model M in oral cavity.Though shown in appliance 1 be fixed in the model, be to be understood that it is designed to use in people's oral cavity, to increase child's oral cavity size, can be too not crowded when making permanent teeth eruption as this child.This takes out minimizing the needs of permanent teeth.Described appliance 1 comprises mandibular and maxillary arch expanders 3, and maxillary arch expander 5, and a pair of telescopic assembly 7 that extends and connect maxillary arch expander 5 and mandibular and maxillary arch expanders 3 between upper and lower jaw arch expander device 5 and 3 now are described as follows.
Described mandibular arch and maxillary arch expander 3 and 5 basically with I United States Patent (USP) NO5 above-mentioned, arc dilator is identical shown in 645,422, this patent is included in this paper as a reference.The orthodontic band 13 of front is suitable for being fixed on the first deciduous molar of lower jaw, and each band 13 all has the clamper 15 and the clamper 17 that is located at described band cheek side that are located at described band tongue side.Described cheek side clamper 17 is suitable for accepting screw 19, and so that telescopic assembly 7 is connected on the mandibular and maxillary arch expanders 3, this is illustrated below.Described each clamper 15 and 17 is integrally formed on each band, to constitute firm metallic object, is used for fixing described other elements in back.
Described band 13 is by expansion association 21 interconnection.Described expansion association 21 has pair of metal piece 23, and described 23 respectively has 3 through holes 25,26 and 27 that form from the side.The hole 25,26 of described two pieces 23 and 27 substantial horizontal are aimed at and are arranged, and alignment pins 29 runs through outer hole 25 and 27.Each alignment pins 29 is with respect to each hole 25 and 27 undersized, so that piece 23 slides with respect to described pin 29.Interstitial hole 26 is shaped on screw thread and admits screw 33.By between two reverse thread ends, forming a hole 35 in the middle of the screw 33 at least.Described hole 35 adapts to the small tool that inserts rotary screw 33.Should be appreciated that screw 33 has two reverse thread ends.Therefore, when screw 33 during towards the rotation of direction, described 23 just away from each other, and when screw 33 reverse rotations, described 23 close to each other.On alignment pins 29, slide for described 23, and described alignment pins is used for the stable screw association that expands.
Piece 23 is by being contained on the tongue side clamper 15 at the bend arm 35 that extends between clamper 15 and the piece 23.Bend arm 35 can have any suitable length and curvature that is suitable for engaging patient's tooth.Can make mould M according to traditional technology, and described arm 35 is made suitable length and curvature.Then, with arm 35 soft solderings in suitable clamper 15 and expansion screw association 21.
From each tongue side clamper 15 extension bar 37 backward.Described bar 37 can be little hollow pipe, to reduce weight, perhaps can be solid hopkinson bar.As mentioned above, bar 37 is fixed on the needs that angle that accurate position on each clamper 15 and bar 37 stretch out from clamper 15 depends on patient and patient.Should be appreciated that arm 35 and bar 37 can be the global facility that can be fit to be bent to form described arm and described bar, perhaps described arm and described bar can be independent parts.
Described mandibular and maxillary arch expanders 3 also has a pair of rear portion orthodontic band 41 that separates, and described band 41 is molar band normally, and is fixed on the sixth-year molar in use.Each band 41 has an integral retaining device 43 that is located at described band tongue side.Hollow pipe 45 extends forward from each clamper 43.Described hollow pipe 45 has an endoporus, and its size adapts to described bar 37 slips to be inserted, and will describe in detail below.
A pair of short metal wire 47 vertically stretches out from managing 45, described each short metal wire 47 buccally sides are extended, and as tooth jaw bearing, and soft soldering is on relevant tube, it is corresponding that its position and the tooth of bilateral second deciduous molar close face tongue side groove, to provide extra holding power and stability to described pipe.
Before orthodontic band 13 is connected to the back to orthodontic band 41, with impel the trend of grinding one's teeth in sleep far away in (distalization), and increase the length of bow by a pair of spring lever and pipe assembly and grow.Bar 37 is slidably engaged on the pipe 45.Disc spring 49 is arranged on around the bar 37, and is fixed on clamper 15 and manages between 45 ends.The size of disc spring 49 is set at the end of this disc spring in abutting connection with described pipe 45, and can not slip over pipe 45.Therefore, band 13 left back band 41 before each disc spring 49 impelled, to increase the length of palate.
Described disc spring 49 has predetermined tension.The predetermined tension of described spring is selected by just abnormal doctor, to reach the middle suitable growth of length of bow far away in the bicuspid zone is near.
Fig. 1 C illustrates another embodiment of mandibular and maxillary arch expanders 3 ' of the present invention.Described mandibular and maxillary arch expanders 3 ' is identical with mandibular and maxillary arch expanders shown in Figure 1B 3 basically, but, changes to some extent on the structure of expansion association 21 '.Described arch expander device 3 ' comprises and separates the anterior orthodontic band 13 ' with tongue side clamper 15 '.Described expansion association 21 ' comprises hollow pipe 61 that stretches out from a clamper 15 ' and the bar 63 that stretches out from another clamper 15 '.The angle that pipe 61 and bar 63 stretch out from clamper separately depends on the shape in patient oral cavity.Bar 63 is slidably engaged with pipe 61, and disc spring 65 usefulness axle journal support rings are around bar 63, and is fixed on clamper 15 ' and manages between 61 ends.The size of described spring 65 is set at the end of conjugation tube 61, and can not slip over pipe 61.Therefore, spring 65 impels anterior band 13 ' away from each other, and described spring 65 has a predetermined force of transmitting between grinding one's teeth in sleep, and the width of canine tooth increases before making.
Described upper jaw palate side dilator 5 (Figure 1A) have a pair of anterior orthodontic band 71 that is suitable for being fixed to maxillary molar that separates.Each band 71 has a clamper 73 that is located at described band tongue side.Each clamper forms whole on band separately.Integrally bending parts or drag hook 75 are arranged from described clamper 73 inside or tongue side extensions.
The a pair of rear portion orthodontic band 77 that separates is located at the back of described anterior band 71, and each band 77 all has a whole tongue side clamper 79 and a whole cheek side clamper 81.Described tongue side clamper 79 has integrally bending parts or drag hook 83.Described each cheek side clamper 81 all has screw, to impel screw 85 described collapsible tubes assembly 7 is connected on the maxillary arch expander 5.
Described anterior orthodontic band 71 is connected on the rear portion orthodontic band 77 by bar 87.And described drag hook 75 and 83 is embedded in plastic plate 89 and 90.Each plastic plate is molded and cooperates patient's palate shape.Each plate and the front and rear band that interrelates are formed half part of described dilator 5.The two halves of described dilator 5 depart from each other, to widen maxillary.Have one to be essentially in bar 91 insert plates 90 of U type.On described bar 91, have with respect to the lower limb of plastic plate 90 at right angles to stretch out basically.Disc spring 96 and 97 uses the axle journal support ring around described bar lower limb respectively.In a pair of short tube 99 insert plates 89, described pipe 99 at right angles stretches out from palate plate basically with palate plate.The lower limb of described pipe 99 and U type bar 91 is complementary aim at and size big slightly so that described lower limb can slip in the pipe.Described spring 96 and 97 ends in abutting connection with described pipe 99, and apply tension force, impel two parts of described device to separate.Applying suitable tension force can be by selecting suitable tensile spring.Can make amendment to the lower jaw dilator 3 of Figure 1B, replace its expansion association 21 with the plate 89 among the figure A and 90, and contain and plate 89 and 90 relevant structures.
For the ease of lower jaw is laterally grown with respect to the upper jaw, described maxillary arch expander and mandibular and maxillary arch expanders are interconnection by telescopic Herbst type assembly 7, and this assembly has been made detailed description in Fig. 2-10.Described two assemblies are identical, and comprise rear portion pipe 101, anterior pipe 103 and the bar 105 that runs through described two pipes 101 and 103.Described rear portion pipe 101 comprises the ducted body 107 that the front and back end is opened wide.Described body 107 has external diameter consistent basically between the front and back end.The outside of its rear end 109 is shaped on screw thread, represents with 111.Arm 113 extends upward from the front portion 115 of described body 107 at body.The free end of described arm 113 has eye 117, on the described eye porose 119.Comprising a plurality of labellings 121 on the described rear portion pipe 101 in the middle of its front and back end, these labellings are used to indicate described anterior pipe 103 to manage 101 progressive sizes to the rear portion, will be described below.Labelling 121 preferred intervals are about 1 millimeter.
Anterior pipe 103 comprises ducted body 123, its limited hole 125.The rear and front end 127 and 127 of described pipe 103 is opened wide respectively.The front end 127 of described pipe attenuates to the center gradually, represents that with 131 the external diameter of managing 103 forefronts like this is littler than the remainder of body 123.See that from Fig. 8 and Figure 10 body 123 attenuates to the rear portion 129 of described body 123 slightly from the rear portion on surface 131 equally.Be shaped on screw thread in described pipe 123 interior forward end, represent with 133.The diameter in described hole 125 is more bigger than the external diameter of described anterior pipe 101, and the screw thread 111 and 133 of described pipe 101 and 103 forms by machined or other modes respectively, makes their couplings.Thereby front and rear pipe 101 and 103 is by being threaded togather.In described rear portion body 123 outside notch or the holes 135 of forming.Described notch 125 is suitable for laying the head instrument with respective shapes.When described appliance 1 was installed in the patient oral cavity, described instrument can be used for respect to front portion pipe 101 rotation rear portion pipes 103.
Described bar 105 is straight-bar normally.This bar has one than the bigger constant diameter usually of anterior pipe 101 internal diameters, thereby can slide with respect to pipe 101.The rear end of described bar 105 has with holes 143 eye 141.
The assembling of described collapsible tubes assembly 7 by be threaded front and rear pipe 101 and 103 and with bar 105 slip into the pipe assembly finish.Bar 105 is slided in the described pipe assembly, make its eye 141 be in the opposite end with the anterior pipe ring eye 117 of assembly.
Preferably as Fig. 1 sees, the extension between the rear portion band 77 of the anterior band 13 of mandibular and maxillary arch expanders and maxillary arch expander 5 of described pipe assembly 7.The screw 85 of maxillary arch expander passes the eye 117 of anterior pipe 101, and described pipe assembly is pivotally connected on maxillary arch expander.Equally, the screw 19 of described mandibular and maxillary arch expanders 3 eye 141 that passes bar 105 is connected to assembly 7 on the mandibular and maxillary arch expanders 3.
When collapsible tubes assembly 7 was inserted in patient's the oral cavity at first, the size of this assembly was set at mouth as the patient when closed, makes the rear end 129 of described rear portion pipe 103 contact with the eye 141 of described bar 105.To apply forward directed pressure to lower jaw like this.Therefore, all parts (be mandibular and maxillary arch expanders and maxillary arch expander 3 and 5 and collapsible tubes assembly 7 and 8) when being installed in patient's the oral cavity, described appliance 1 will be convenient to horizontal growth, the length of bow grows, and palate expansion and lower jaw advance, and do not need the patient to be obedient to simultaneously.
By towards a direction roll tube 103, described pipe 103 will advance to pipe 101, thereby shorten pipe assembly 7 length overalls.On the contrary, by towards second direction roll tube 103, described pipe 103 will be with respect to front portion pipe withdrawal, thereby increases the length overall of pipe assembly.Pipe 101 and 103 degree that move relative to each other are measured by labelling 121.Managing 103 internal whorls 33 and pipe 101 labellings 121 is located on separately the pipe, make when in described pipe 101 spinning in pipe 103, described labelling 121 will expose, rotate relative to one another by two pipes, the labelling quantity of exposing can increase or reduce according to the direction of rotation, thereby indicates by the described pipe degree that described pipe assembly elongates or shortens that rotates relative to one another.Therefore, by reading the number of labels of exposing, the doctor can determine to produce the length overall of how many advance amount and assembly 7.
Fig. 1 D illustrates lower molar gap-closing device 201.As can be seen, it is similar to the mandibular and maxillary arch expanders of Fig. 1 C, and the described gap-closing device 201 of grinding one's teeth in sleep has a pair of anterior orthodontic band 213 that separates, and this band is suitable for being fixed on the lower jaw first deciduous molar.Each band 213 all has clamper 215 that is located at described band tongue side and the clamper 217 that is located at described band cheek side.Cheek side clamper 217 is suitable for being installed in screw 219, so that telescopic assembly 7 is connected on the mandibular and maxillary arch expanders 3.Each clamper 215 and 217 is integrally formed on separately the band, a firm metallic object to be provided, to be used for fixing other elements of describing later.Drag hook 218 stretches out from cheek side clamper 217, and points to patient's front portion, oral cavity forward.
Band 213 is interconnection by expansion association 221.Described expansion association 221 is identical with the expansion association 21 ' of mandibular and maxillary arch expanders 3 '.
Bar 237 extends back from each tongue side clamper 217.Described bar 237 can be little hollow pipe, to reduce weight, perhaps can be solid hopkinson bar.As mentioned above, bar 237 is fixed on the needs that angle that accurate position on each clamper 217 and bar 237 stretch out from clamper 217 depends on this patient and patient.
Lower molar gap-closing device 201 also has a pair of rear portion orthodontic band 241 that separates, and band 241 is molar band normally, and is fixed on the sixth-year molar in use.Each band 241 all has an integral retaining device 243 that is located at described band tongue side.Hollow pipe 245 extends and passes described clamper 243 along the tongue side of described band, and hollow pipe 245 has a size and adapts to the endoporus that described bar 237 slides and inserts.The size of bar 237 is set at and makes these bars pass pipe 245 to extend to and exceed pipe 245 rear portion.
Use a pair of spring lever and pipe assembly that the paired orthodontic band 213 in front is connected on the paired orthodontic band 241 in back, with the gap between reducing to grind one's teeth in sleep.Just as mentioned, bar 237 is slidably engaged on the pipe 245.Disc spring 249 is connected on the bar 237 from the back of distomolar band 241, is connected on the drag hook 217, and obviously, in this position, spring 249 is in expansion state.Therefore, each disc spring 249 further mutually band 213 and 241 are with the gap between reducing to grind one's teeth in sleep.Described disc spring 249 has predetermined pull.Select the predetermined pull of described spring by the tooth orthopedist, with reach in the bicuspid zone is near far away in the suitable growth of length of bow.
Be shown specifically prior art at Figure 11 and 12 and assemble the installing holder assembly that (gerry-rigged) holds arch wire W temporarily, and when using, represent with Ref. No. 275 usually with orthodontic band 276.Should be appreciated that described assembly 275 is to be fixed on the described orthodontic band in the drawings, but it can be fixed on the stainless steel corona dentis, assembly 275 be played resemble the effect of above-mentioned clamper being fixed on the orthodontic band.But, assembly 275 can improve, with fixing arch wire.The assembly 275 of prior art includes short square pipeline section 277, and it is fixed on the band 276 by soft soldering, for example, represents with S1.When needing described rectangular tube is located on the orthodontic band, so that fixing arch wire W.Then, will comprise the top of installing holder 278 soft solderings of basic shell 280 and screw 282 at described rectangular tube.The assembly 275 that it will be understood by those of skill in the art that prior art needs firm soft soldering joint S1, with fixing described parts, thereby causes the high profile of described clamper.And the installation of described clamper on band needs extra time and cost.
Figure 13 represents a kind of improved pivotal mounting clamper, and at Fig. 1, represents with Ref. No. 300 usually in the use of 1C and Fig. 2.Installing holder 300 comprises basic shell 302 and screw 304.Base shell 302 comprises and is generally columniform bottom 305 and concentric cylinder section 306.Be shaped on aperture 308 on the bottom 305.In the embodiment shown, aperture 308 is orthogonal, and is designed to hold traditional arch wire W.Referring to Figure 14.Bottom 304 can be located on the orthodontic band 276, and soft soldering is in the suitable position of solder joint S2.Should be appreciated that the predetermined angular setting that aperture 308 can be wished according to the orthopedic doctor of tooth, so that form the root of the tooth angle.Should be appreciated that to make installing holder 300 be fixed to the required solder joint S2 of orthodontic band more little, will cause than littler volume shown in Figure 12 and lower profile structure.
Main paragraph 306 includes internal thread hole 310, is used for threads engage screw 304.Screw 304 inserts above-mentioned appliance eye and tightens, and reserves enough gaps and makes eye to rotate around screw rotation and pivot.
Figure 15 illustrates another mandibular and maxillary arch expanders 401.Though shown in dilator 401 show as mandibular and maxillary arch expanders.But clearly, it also can show as maxillary arch expander.Described dilator 401 is basic identical with the dilator 3 of Figure 1B.Mandibular and maxillary arch expanders 401 has a pair of anterior orthodontic band 413 that separates, and this band is suitable for being fixed on the lower jaw first deciduous molar.Each band 413 all has a clamper 417 that is located at the clamper 415 of described band tongue side and is located at described band cheek side.Cheek side clamper 417 is suitable for being installed in screw 419, so that telescopic assembly is connected on the mandibular and maxillary arch expanders.
Bar 437 extends back from each tongue side clamper 415.Described bar 437 can be little hollow pipe, to reduce weight, perhaps can be solid hopkinson bar.As mentioned above, bar 437 is fixed on the needs that angle that accurate position on each clamper 415 and bar 437 stretch out from clamper 415 depends on this patient and patient.
Mandibular and maxillary arch expanders 401 also has a pair of rear portion orthodontic band 421 that separates.Described band 421 is molar band normally, and is fixed on the sixth-year molar in use.Each band 421 all has the integral retaining device 423 that is located at described band tongue side.Hollow pipe 425 extends forward from each clamper 423.Hollow pipe 425 has the endoporus that size adapts to slip insertion rod 437, and described bar extends back from anterior orthodontic band 413.Spring 429 is contained on the bar 427, to exert pressure to anterior orthodontic band, as mentioned above.Should be appreciated that described arm 429 and bar 437 can be a global facility that is fit to be bent to form arm and bar, perhaps described arm and bar can be parts independently.
Difference between the mandibular and maxillary arch expanders 3 and 401 is the expansion association of these two dilators.Sheath design that expansion association 441 adopts a kind of and Fig. 2-10 sliding members 7 similarly advances.The assembly of dilator shown in Figure 16 amplifies in proportion.This assembly comprises main body 443 and bar 445.Described main body 443 is passed the passage 447 of main body for hollow and qualification.The rear end 449 of described passage 447 and front end 451 all open wide.Main body 403 is shaped on female thread, represents with 452.Shown in screw thread 453 be spaced in front end 451 back of described passage 447.But described screw thread can extend long enough or enough short as required in described body passageways.
Arm 453 is accommodated in the rear end 449 of passage 447, and runs through described main body 443, and the front end 451 from main body 443 stretches out again.The arm 453 tongue side clamper 415 of one of molar band 413 in the past stretches out.The size of described arm 453 and main body clamper 447 is set at described main body 443 can be rotated round arm 453.
The size of bar 445 is set in body passageways 447 scopes.The rear portion 461 of described bar 445 is shaped on external screw thread, so that described bar can screw in the main body 403, described at least bar 445 parts are hollow, limits the hole 462 of extending forward from described bar 445 rear ends.The size in described hole 462 is set at the flexible front end that holds described arm 453.Be formed with a plurality of labellings 463 in described bar 445 screw thread front portions.As the situation of assembly 7, described labelling 463 can make the doctor know how long bar 445 stretches out from main body 403.The front end 465 of described bar 445 is fixed on the tongue side position of another anterior orthodontic band 413 by soft soldering or other modes.
Therefore, bar 445 is fixed on the anterior orthodontic band effectively, and described main body 443 is then effectively rotated and is contained on another anterior orthodontic band.In Figure 15, seeing, the rear end 449 of described main body 443 and band 413 adjacency that arm 453 is installed.Therefore, by with respect to bar 445 rotating main bodies 443, can increase the length overall of expansion association selectively, overtime increase patient's jaw width.By using the labelling 463 on the bar 445, dentist or technician can determine the total length of described expansion association, thus progress that can monitored patient.
Figure 17 illustrates amended expansion association 401 '.Described expansion association 401 ' is identical with the expansion association 401 among Figure 15 basically, and comprises bar 445 and arm 453.Its difference is that the passage 447 ' of main body 443 ' is flat spot-facing (counterbored), represent with 447A, so that effectively produce the passage of two different-diameters, the diameter of described channel rear portion 447A is bigger than the diameter of anterior 447B, and the changeover portion between these two parts has convex shoulder 446.Disc spring 448 is accommodated among the flat spot-facing part 447A of described passage 447 ', and is coiled on the arm 453.Described spring 448 is preferably the NiTi spring, and folder is equipped with between the molar band 413 and convex shoulder 446 of arm 453 thereon.The advantage of described spring 448 is that it will apply constant pressure to lower jaw, to expand described lower jaw.In addition, described expansionary force comes from spring, rather than from the back edge of described main body 443.But, still need to adjust by rotating main body 443.Passage 447 in main body 443 (Figure 15 and 16) does not need all to run through main body 443.Described main body can have the metapore of accepting arm 453 and accept the preceding hole of female thread of bar 445.This example just specifies.
Figure 18 illustrates the telescopic assembly 507 similar to assembly 7 among Fig. 2.But, assembly 507 has made an amendment, includes spring 548 in main body 503, and is similar to the telescopic assembly 441 of Figure 17.
Though the design of front effect in the great majority treatment is pretty good, the inventor determines that the hat of grinding one's teeth in sleep has a little in the lateral dimension analysis.In order to address this problem, the inventor has proposed design improvement, it is characterized in that the inner chamber that pipe has the cylindrical outer structure and has flat sides.The bar that is located at described intracavity has complementary structure.This design stops described bar to rotate in pipe or rotates, and hat tilts because this rotation or rotation can cause grinding one's teeth in sleep in treatment.This new design has best demonstration in Figure 19-27.
Figure 19-21 illustrates the embodiment of an improved pipe and bar, and described bar and pipe are represented with Ref. No. 600 and 601 respectively.Should be appreciated that the population structure of pipe after the improvement and bar and above-described similar.But, preferably as Figure 20 and 21 saw, described bar 600 had rectangular cross section, and pipe 601 has complementary rectangular opening 603, and this hole is big slightly with respect to pipe 601, so that with in bar 600 entrance holes 603.Should be appreciated that orthogonal hole and bar prevent that described bar from rotating or rotate in pipe, thereby prevent the inclination of grinding one's teeth in sleep in use.
Figure 22-24 illustrates the embodiment of another improved pipe and bar, and described bar and pipe are represented with Ref. No. 700 and 701 respectively.Should be appreciated that the population structure of pipe after the improvement and bar and above-described similar.But, preferably as Figure 23 and 24 saw, described bar 700 had the oval cross section.Pipe 701 has complementary oval hole 703, and this hole is big slightly with respect to pipe 701, so that with in bar 700 entrance holes 703.The oval shape that should be appreciated that hole and bar prevents that equally described bar from rotating or rotate in pipe, thereby prevents the inclination of grinding one's teeth in sleep in use.
Figure 25-27 illustrates the embodiment of another improved pipe and bar, and described bar and pipe are represented with Ref. No. 800 and 801 respectively.Preferably as Figure 26 and 27 saw, it was orthogonal cross section that bar 800 has basic, and has circular top and bottom outer wall 802A and 802B respectively.Pipe 801 has the complementary basic orthogonal hole 803 that is, this hole has arc or circular roof 804A and circular diapire 804B, and big slightly with respect to pipe 601, so that with in bar 800 entrance holes 803.Circular wall on described pipe and bar is convenient to adjust and is moved; Flat sidewall is convenient to soft connecing, and prevents that described bar from rotating in pipe or rotate, thereby prevents to grind one's teeth in sleep inclination.
Design shown in Figure 22-27 can be used for front explanation and illustrated any dilator.The design of Figure 22-27 can be used to replace bar 37 shown in Figure 1B and pipe 45.Equally, the embodiment among Figure 22-27 can be contained in the dilator shown in Fig. 1 D, to replace bar 237 and pipe 245.The dilator that the present invention prepares to be used for new pipe of any use and bar assembly with the bar and the pipe assembly of this antitorque commentaries on classics and rotation.The design of antitorque commentaries on classics and rotation shown in should be appreciated that here is predetermined to be can be used in any just abnormal dilator that comprises at least one bar and pipe assembly.
The inventor also finds about described protrusive sheath, makes the jaw pressure that moves mandibular location after getting back to that the adjustable homogeneous tube of described protrusive sheath is passed through again after advancing backward.Figure 28 illustrates improved protrusive sheath, and protrusive sheath 801 comprises hollow rear portion pipe 803, hollow front pipe 805 and the bar 807 that runs through these two pipes 803 and 805.The rear end of rear portion pipe 803 is shaped on external screw thread.805 of anterior pipes are shaped on female thread, so that be screwed to the rear end of rear portion pipe, thereby are convenient to the length overall of the sheath that adjusting lever 807 runs through.Arm 809 extends upward from the front end of rear portion pipe.Free end at described arm forms fixture 811, so that described pipe is connected on the cingulum ring.Rear end at described bar 807 forms second fixture 810.Spring 812 be preferably the disc spring made by NiTi with the axle journal support ring around the rear portion pipe 803 between the arm 809 of the front end 813 of front portion pipe 805 and rear portion pipe 803.Just block 815 is set, so that spring 812 is formed the backstop of advancing in arm 809 back.Described spring 812 will march forward or rear portion pipe 805 applies the constant pressure that advances, and stop pipe 805 to move the trend of drawing back under the jaw pressure after constant to help it.
Figure 29 illustrates the modification of protrusive sheath 801.In protrusive sheath 801 ', pipe 803 ' inside, rear portion is shaped on screw thread, and anterior pipe 805 ' outside is shaped on screw thread.In this modification, spring 812 ' is accommodated in the front end 815 ' and the pipe 803 ' between the anterior pipe 805 ' front end 813 ' of pipe 803 '.
At another kind of extension fixture 900 shown in Figure 30-33.Extension fixture 900 is installed on the plate 902 with 902a and 902b two halves, and the size of described two halves and shape set are to be fitted on patient's the mandibular arch or maxillary.Extension fixture 900 comprises shell 910, and this shell has sidewall 912, top 914, bottom 916, rear portion 917 and the front portion of opening wide 918.Passage or groove 920 extend back from the leading edge 918 of shell 910.Described groove 920 is limited by the skew wall 922 on the described passage opposite side.Like this, as Figure 32 saw, the bottom of skew wall 922 was below the inner surface of described top 914 remainders.Center along bottom 916 inner surfacies between rear portion 917 and anterior 918 is extended with triangular fin 924.Screw rod 926 extends to anterior 918 forward from housing back wall 917.Described screw rod 926 extends along the shell center, and usually on rib 926.Pair of columns 928 is placed in the opposite side of screw rod 926, and as bar 926, extends to antetheca 918 forward from rear wall 917.
Protrusive parts 930 slide and are contained in the shell 910.Described parts 930 have sidewall 932, bottom 934, top 936 and antetheca 937.Stretch out from antetheca 937 anterior mounting portion 939.Form groove 938 on the outer surface of described bottom 934, the size of this groove and shape set are to slide on the rib 924 of shell 910.In addition, 936 form passage 940 at the top with skew wall 942.Described passage 940 is aimed at outer shell passage 920, and the shape of skew wall 942 then is set at and 922 complementations of shell skew wall.Like this, have the groove 938 of rib 924 and key or guide rail when being equivalent to parts 930 and moving around the interaction of passage 920 and 940 skew wall 922 and 942 respectively, this is discussed below.
The traveling nut 950 that is shaped on female thread is installed on the screw rod 926 of shell, and the size of described nut 950 is set at its periphery can pass through passage 920 and 940.The periphery of described nut 950 comprises a plurality of holes 952.Tool using rotating nut 950 can make hole 952 by passage 920 and 940.Be appreciated that by swivel nut 950 nut 950 will move along bar 926.
Movable wing 960 is equipped with in the front of traveling nut 950 in shell 910, is promoted by described nut.The described wing 960 comprises with the axle journal support ring around screw rod 926 cores 962.Core 962 has center port, and its size is set at anti-stopping bar 926 screw threads influences moving of movable wing 960.A pair of arm 964 stretches out from the offside of described core 962, and the far-end of each arm 964 all has plate 966.Described each plate 966 all has size to be set to the centre bore that holds cylinder 928.Spring 968 usefulness axle journal support rings are around the cylinder 928 between each plate 966 and movable part 930 antethecas 937.
Be appreciated that by swivel nut 950 it is moved towards movable part antetheca 937, and described movable wing 960 will move forward, thereby described spring 968 will be compressed.Like this, spring 968 will be exerted pressure to movable part 930, make shell 910 and movable part 930 move relative to each other, thereby cause parts 900 expansions.Preferably movable part 930 is provided with labelling 970, as the millimeter scale, thereby can determine how far movable part 930 has advanced.Described labelling 970 preferably is located on the mounting portion 939 of advancement component 930.When described expansion association 900 is fixed on plate 902a and 902b when going up, just shell 910 is fixed therein on the plate, on plate 902a, advancement component 930 then is fixed on another plate, on plate 902b.Described shell 910 can be placed in the aperture on size and the suitable guide plate 902a of shape effectively.Use mounting portion 939 that advancement component 930 is contained on the plate 902b.Mounting portion 939 is accommodated in the groove or aperture on the plate 902b inner edge.When the two halves of described expansion association were fixed on the two halves of plate separately, passage 920 and 940 can enter, and labelling 970 can be seen.Described shell 910 and be fixed on plate 902a, the outer surface of the advancement component 930 on the b can be made into coarse surface, so that for good and all shell 910 and advancement component 930 are fixed on their plate 902a and 902b separately.
Rib 924 and groove 938 are shown triangle, and described rib and groove can be other any desirable shape.A more than rib and groove can be provided.Rib and groove can be opposite in addition, so that rib is on advancement component 930, and groove is on shell 910.
Figure 34 A to 38 expression is used for the treatment of anti-jaw, particularly the contraction sheath adapter of the wrong jaw of III class.Contraction sheath adapter of the present invention, for example, the adapter embodiment that represents with Ref. No. 1000 usually among the figure is connected between maxillary molar or upper jaw appliance and the lower jaw appliance.When described lower jaw appliance is connected on the upper jaw by shrinking the sheath adapter, described adapter force the lower jaw appliance lower molar push to far away in, and stop the anti-jaw of this malocclusion to advance, simultaneously because it forces upper jaw bone to stop forward that any grinding one's teeth in sleep relatively tends to far in the maxillary.Should be appreciated that this new contraction sheath adapter of the present invention can use with one of lower jaw appliance with appliance such as one of above-mentioned molar band or other upper jaw appliances.
With reference to figure 34A and 34B, adapter 1000 comprises outside flexible sheath 1002 and is slidably engaged the contraction pole 1003 of described sheath.It is that anterior pipeline section 1004 and second is the concentric pipeline section 1006 in rear portion that sheath 1002 has first.Anterior pipeline section 1004 has endoporus 1008, its axial length extend to described section isometric.In a preferred embodiment, the rear portion in hole 1008 has thread surface 1010.Whole Kong Douke makes screw thread.Anterior pipeline section 1004 comprises aperture 1011 or other structures, so that joining tool, impels the leading portion rotation and adapter is elongated, and will be described below.
The rear portion pipeline section 1006 of described sheath comprises endoporus 1012, its axial length extend to described section isometric.In a preferred embodiment, the front portion of described section 1006 outer surface is a thread surface 1014.The whole length in described surface all can be made screw thread.Rear end in rear portion sheath section 1006 is provided with pivot eye 1015.Design eye 1015 is so that be fixed on the upper jaw device device as described above.Should be noted that eye 1015 and rear portion pipeline section are angled and extend upward from this pipeline section.This design is convenient to described eye is fixed on the upper jaw appliance, will be described below.
Eye 1015 can be fixed on the described upper jaw device by the pivotal mounting clamper, and described pivotal mounting clamper is at United States Patent (USP) NO.6, more detailed description is arranged in 036,488, and this paper is quoted as a reference.In the adjacent rear end of leading to the section 1006 in aperture, rear portion, hole, less eye 1016 and other spring fitting devices can be arranged also.The size of pipeline section 1006 is set at and adapts to hole 1008, the interior threaded surface 1010 in the hole 1008 of its external threaded surface 1014 engage front pipeline sections 1004.When section 1004 and 1006 was threadably engaged, a hole, the axial length of passing the described sheath of diameter basically identical were formed in described hole 1008 and 1012.
Bar 1003 has elongated barrel portion 1018, have eye 1020 at its front end, be used for direct or preferred pivotal mounting clamper and be fixed to the lower jaw device by aforementioned pattern, bar 1003 can be solid or piped, and the size of main part is set to be enough to be slidably engaged in the hole of described sheath by the spring around it, is described below.Bar front end near the fixed eye 1020 of spring 1024 front ends can have spring-fixed structure 1022, for example aperture or other structures.Should be noted that on the other hand described spring can be soldered directly on the described bar by for example laser weld, preferably described spring is the closed disc spring of NiTi.Spring 1024 is located at around the main part 1018.
In use, the expansion of described adapter is extended between upper jaw device and lower jaw device, for example, anterior pipeline section 1004 certain distance that advances, described distance is corresponding to the fixing thing of looking (sight) of the following bow on lower jaw the one or two canine tooth or the lower jaw device.Described adapter is fixed on the eye 1014 of upper jaw device.Insert the front end of described sheath around the bar 1003 of spring 1024 on every side and be connected on the eye 1020 of lower jaw device.The rear end of described spring 1024 is fixed on the eye 1016 of described sheath rear end, or by other modes, above for example being welded on.Described sheath is connected on the eye 1015 of upper jaw device.1024 pairs of described bars of spring apply contractility, thereby this power also affacts on the lower jaw device.By along the anterior pipeline section 1004 of suitable directional ring around the described sheath of rear threads 1014 rotations, it is advanced, so that described spring further moves, promptly tension force increases, and causes the flexible or length increase of described sheath, thus back-moving spring 1024.Can be by 1011 insertion instruments or promote this rotation with other suitable modes in the aperture.Should be appreciated that and to shorten described sheath by the anterior pipeline section 1004 of reverse rotation, to reduce spring tension.In any case, in any rectification stage, adapter can be corrected the needed pulling force of anti-jaw to the lower jaw device by adjusting to provide.
Figure 35 A to 36 expression the present invention shrinks another embodiment of sheath adapter, and this adapter is represented with Ref. No. 1100 usually.Adapter 1100 has telescopic epitheca parts 1102, it have first promptly anterior in bar section 1104 be bar section 1106 in the rear portion with relative second, this bar section is slidably engaged wherein.Described sheath 1102 has anterior pipeline section 1108, and its endoporus 1110 extends along its axial length.The back segment in described hole 1110 has thread surface 1112.The whole surface in described hole all can be shaped on screw thread.Forward pipeline section 1108 can comprise aperture 1109 or other structures, so that joining tool impels anterior pipeline section rotation.Sheath 1102 also comprises and the concentric rear portion of described anterior pipeline section pipeline section 1114.Rear portion pipeline section 1114 has along the long endoporus 1116 that extends of described tubular axis.Pipeline section 1114 has thread outer surface 1118 at its front end.The whole outer surface of described rear portion pipeline section all can be shaped on screw thread.The size of rear portion pipeline section 1114 is set to be enough to make in its hole that is threadably engaged anterior pipeline section 1110.Should be appreciated that just matching in hole 1110 and 1106, forms a hole, the axial length of passing the described sheath 1102 of diameter basically identical when described pipeline section engages.
It can be solid or piped cylinder 1120 that bar section 1104 has elongated.Described body has fixedly eye 1122 of appliance at its front end.Spring-fixed structure 1123 is located near the eye 1122.Structure 1123 can be to be used to engage the aperture of disc spring one end or the structure of other any fixing spring one ends.Described spring can be welded on the appropriate location.Bar section 1106 also has and the essentially identical elongated cylinder 1124 of described body 1120 diameters.Has fixedly eye 1126 in the rear end of bar section 1106.Eye 1126 usually and body 1124 is angled and protrude upward from this body, so that described eye is fixed on the upper jaw appliance.One spring-fixed structure or aperture 1128 are arranged near eye 1126.Each body of rod 1120 and 1124 size are set at and are slidably engaged in the sheath hole that has around body of rod spring.Disc spring 1130 is respectively on cylinder 1120 and 1124, and its front end is fixed on the structure 1123, and its rear end is fixed on the structure 1128.The diameter of described spring is set at around not closely contact of the body of rod in the outer sheath hole.Described spring, preferably the NiTi spring applies contractility to described bar section, and these bar sections in the sheath hole are furthered each other.
In use, adapter 1100 expansions are extended between upper jaw device and lower jaw device.For example, described anterior 1108 by around rear portion pipeline section end of thread rotation advancing certain distance, makes it corresponding to the fixing thing of looking of the following bow on lower jaw the one or two canine tooth or the lower jaw device.Eye 1126 is fixed on the pivot of upper jaw appliance, and eye 1122 then is fixed on the pivot of lower jaw appliance.Described spring contractility makes 1106 pairs of described upper jaw appliances of rear link section apply thrust, and makes 1104 pairs of lower jaw devices of described forward bar section apply middle power far away.The big I of described power is by adjusting spring tension, or changes spring, or elongates or shortens described flexible sheath and regulate.
Figure 37 illustrates contraction sheath adapter 1000 of the present invention and is fixed between upper jaw device 1200 (corresponding to position A) and the lower jaw device 1202 (corresponding to position B).Described adapter preferably is connected on the pivot that installs separately.Described adapter is in the original position that is used to correct serious anti-jaw.Should be appreciated that described adapter 1000 or adapter 1100 can use as shown in the figure like that.As described above, 1003 pairs of lower jaws of the biasing spring bar of adapter apply contractility, shorten the distance between A point shown in the arrow 1204 and the B point.Carrying out anti-jaw when correcting, anterior pipeline section 1004 is around screw thread rotation, to shorten described sheath.Figure 38 represents to shrink the final position of adapter 1000 when anti-jaw is corrected.Can see that flexible sheath 1002 has shortened, adapt to reducing of distance between A point shown in the arrow 1204 and the B point.Can think that when such use of adapter 1100 shown in Figure 37 and 38, biasing spring bar section 1104 and 1106 will apply contractility to upper jaw bone and mandibular bone, A point and B point are furthered each other, so that correct anti-neck.
In Figure 39 A and 39B, represent a kind of new passage lock adapter of the present invention with Ref. No. 1300.Described generally together use with the sheath that advances with the numbering 1300 passage lock adapters of representing are main, disclosed in 919,042 as at United States Patent (USP) NO.5, this content is included in the application as a reference.But, should be understood that this passage lock adapter 1300 can be used for any sheath recited above, and do not depart from the scope of the present invention.
Passage lock adapter 1300 has the outer sheath 1302 in band axial hole 1304.The surface in described hole 1304 is shaped on screw thread.Pipe 1306 is threadably engaged in hole 1304 in the external screw thread.As mentioned above, outer tube 1302 can be around screw thread rotation, makes outer sheath advance or retreat, to change the length of described adapter.In the embodiment shown, outer sheath 1302 has in the rear end near it passes the holding screw screw 1306 that described wall forms, and interior pipe 1306 has one and has base 1309 and manage the external channel 1308 that extension is similar to axial length in described.Hole 1306 is aimed at passage 1308.The holding screw 1310 or the analog that are shaped on screw thread are threadably engaged in hole 1306.Described outer sheath holding screw can be tightened, and for example uses allen wrench, to engage passage, causes with passage base 1309 closely contact, and with the epitheca maintenance in place, thereby prevents that described sheath from advancing or pass through backward.
Another embodiment of passage lock adapter 1300 comprises within the scope of the invention.For example, on the base 1309 of passage 1308, can form and a series ofly be shaped on screw thread or do not make opening or the hole that screw thread evenly separates.Pass hole 1306 and can insert the locking pin (this can not form yet) that is shaped on screw thread or does not make screw thread in making the embodiment of screw thread, so that outer sheath is remained on ideal position.
Look back foregoing, can see that multiple purpose of the present invention and advantage realize, and obtain other beneficial effects.And, owing in the scope that does not break away from described claim, can carry out various modifications and improvement, illustrate so the description of front and accompanying drawing only are decided to be, and should not take to have limited significance as assembly of the present invention.

Claims (32)

1. contraction adapter, it is used to be connected between upper jaw appliance and the lower jaw appliance with the anti-jaw of this treatment of treatment needs, comprising:
Body with endoporus, the rear end of described body have upper jaw appliance fixture;
Be slidably engaged on the bar in the hole of described body, the front end of described bar has lower jaw appliance fixture;
Be connected to described bar and run through the spring in described hole, described spring is connected to the rear end of described body, and described thus spring produces systolic pressure to described bar and described lower jaw appliance.
2. adapter as claimed in claim 1, wherein said body are telescopic bodys.
3. adapter as claimed in claim 2, wherein said body also comprise the outside be shaped on screw thread the rear portion pipeline section and inner be shaped on screw thread and with the anterior pipeline section of described rear portion pipeline section threads engage, thereby rotate described outside pipeline section towards first direction and make described body elongation, to strengthen the systolic pressure of spring, and rotate described outer tube in the opposite direction described body is shortened, to reduce the systolic pressure of spring.
4. adapter as claimed in claim 1, wherein said upper jaw appliance fixture is an eye.
5. adapter as claimed in claim 2, wherein said lower jaw appliance fixture is an eye.
6. adapter as claimed in claim 1, wherein said spring are the NiTi springs.
8. adapter as claimed in claim 4 is formed with the aperture above the wherein said anterior pipeline section, is used to engage the device of being convenient to rotate described anterior pipeline section.
9. contraction adapter, it is used to be connected between upper jaw bone and the mandibular bone with the anti-jaw of this treatment of treatment needs, comprising:
Body with inner chamber;
Forward bar and the rear link that is slidably engaged on described intracavity, described rear link can be fixed on the upper jaw bone, and described forward bar can be fixed on the described mandibular bone; With
Be connected spring between described forward bar and the described rear link at described intracavity, described thus spring applies systolic pressure to above-mentioned two bar sections.
10. adapter as claimed in claim 9, wherein said body are telescopic bodys.
11. adapter as claimed in claim 9, wherein said body also comprise the outside be shaped on screw thread the rear portion pipeline section and inner be shaped on screw thread and with the anterior pipeline section of described rear portion pipeline section threads engage, thereby rotate described outside pipeline section towards first direction and make described body elongation, to strengthen systolic pressure to spring, and rotate described outer tube in the opposite direction described body is shortened, to reduce the systolic pressure of spring.
12. adapter as claimed in claim 9, the rear end of wherein said rear link has eye.
13. adapter as claimed in claim 9, the front end of wherein said forward bar has eye.
14. adapter as claimed in claim 9, wherein said spring are the NiTi springs.
15. adapter as claimed in claim 11 is formed with the aperture above the wherein said anterior pipeline section, is used to engage the device of being convenient to rotate described anterior pipeline section.
16. a sheath constriction device, it connects described mandibular bone and described upper jaw bone to correct anti-jaw in this rectification of needs, comprising:
Can adjust the hollow sheath, described sheath has the back segment that the outside is shaped on screw thread, be shaped on the leading portion of screw thread with inside, described leading portion and described back segment are threadably engaged, rotate described front portion towards a direction thus and extend described sheath, described sheath is then shortened in rotation in the opposite direction, and described sheath includes eye in its back-end, and described eye can be fixed on the upper jaw device;
Be slidably engaged on the bar in the described sheath, described bar has eye at its front end, and described eye can be connected on the lower jaw device; With
Around described bar and the spring that between the front end of the rear end of described sheath and described bar, extends, described spring is set, so that promote described bar backward,, described mandibular bone corrects pressure thereby being applied anti-jaw with respect to described sheath.
17. adapter sheath as claimed in claim 16, wherein said spring are the NiTi springs.
18. adapter sheath as claimed in claim 16 also comprises the device of being convenient to rotate described leading portion on the described leading portion of described hollow sheath.
19. a sheath constriction device, it connects described mandibular bone and the described upper jaw to correct anti-jawbone in needs are corrected, and comprising:
Can adjust the hollow sheath, described sheath has back segment and the inner leading portion that is shaped on screw thread that the outside is shaped on screw thread, and described leading portion and described back segment are threadably engaged, rotate described front portion towards a direction thus and make described sheath elongation, and rotation is in the opposite direction shortened described sheath device;
Be slidably engaged on forward bar and the relative rear link that is slidably engaged in the described sheath in the described sheath, described forward bar has eye at its front end, and it can be fixed to the lower jaw device, and described rear link has eye in its back-end, and it can be fixed to upper jaw device; With
Be connected the spring between described forward bar and the rear link, described spring be set applying systolic pressure, correct pressure thereby make described forward bar and described rear link apply anti-jaw to described upper jaw bone and described mandibular bone.
20. adapter sheath as claimed in claim 19, wherein said spring are the NiTi springs.
21. adapter sheath as claimed in claim 19 also comprises the device of being convenient to rotate described leading portion on the described leading portion of described hollow sheath.
22. a just abnormal device, it connects described mandibular bone and described upper jaw bone to correct anti-jaw or cover jaw in this rectification of needs, comprising:
The upper jaw device that is used for fixing described object upper jaw bone;
The lower jaw device that is used for fixing described object mandibular bone;
At least one is fixed on the contraction adapter between described upper jaw device and the described lower jaw device, described contraction adapter comprises can adjust the hollow sheath, described sheath has back segment and the inner leading portion that is shaped on screw thread that the outside is shaped on screw thread, described leading portion and described back segment are threadably engaged, make described sheath elongation thereby rotate described leading portion, and rotation is in the opposite direction shortened described sheath towards a direction; Described sheath includes eye in its back-end, and described eye can be fixed on the upper jaw device; Bar is slidably engaged in the described sheath, and described bar has eye at its front end, and described eye can be fixed on the lower jaw device; With around described bar, and the spring that extends between the front end of the rear end of described sheath and described bar is provided with described spring, so that promote described bar backward with respect to described sheath, corrects pressure thereby described mandibular bone is applied anti-jaw.
23. device as claimed in claim 22 shrinks the relative side of adapter in this device and at least one and comprises that also second shrinks adapter.
24. device as claimed in claim 22, wherein said spring are the NiTi springs.
25. device as claimed in claim 22, be formed with at least one threaded bores above the wherein said hollow sheath, and be formed with on the described bar along the outside axial length of described bar and extend and be located near at least one threaded bores passage, with the lock screw that is threaded in described at least one threaded bores, just be placed in and described channel engagement when present dynasty's first direction rotates described threaded screw thus, so that closely contact with described bar, and described bar is remained on selected position in the described hollow sheath.
26. a just abnormal device, it connects described mandibular bone and described upper jaw bone to correct anti-jaw in this rectification of needs, comprising:
The upper jaw device that is used for fixing described object upper jaw bone;
The lower jaw device that is used for fixing described object mandibular bone;
At least one is fixed on the contraction adapter between described upper jaw device and the described lower jaw device, described contraction adapter comprises can adjust the hollow sheath, described sheath has back segment and the inner leading portion that is shaped on screw thread that the outside is shaped on screw thread, described leading portion and described back segment are threadably engaged, make described sheath elongation thereby rotate described front portion, and rotation is in the opposite direction shortened described sheath towards a direction; Be slidably engaged on the forward bar relative rear link interior in the described sheath with being slidably engaged on described sheath, described forward bar has eye at its front end, described eye can be fixed on the lower jaw device, and described rear link has eye in its back-end, and described eye can be fixed on the upper jaw device; Be connected the spring between described forward bar and the rear link, described spring be set applying systolic pressure, thereby make described forward bar and described rear link, described upper jaw bone and described mandibular bone are applied anti-jaw correct pressure.
27. device as claimed in claim 25 shrinks the relative side of adapter in this device and at least one and comprises that also second shrinks adapter.
28. device as claimed in claim 25, wherein said spring are the NiTi springs.
29. in just abnormal device with upper jaw device, lower jaw device and at least one adapter adjusted between described upper jaw device and described lower jaw device, the described adapter of adjusting comprises outside hollow sheath and the biasing spring pipe in described sheath, and described improvement comprises:
Described outside hollow sheath is formed with at least one aperture in the above; With described in pipe, be formed with passage in the above, described passage extends and is located in the described outside hollow sheath near at least one aperture along the outside axial length of described pipe; With
Be bonded on the latch-up structure in described at least one aperture in the outside hollow sheath, described latch-up structure be set to remain on ideal position with respect to pipe in described with described channel engagement and with described sheath.
30. improvement as claimed in claim 29, wherein described at least one inside, aperture that forms in described outside hollow sheath is shaped on screw thread, and the latch-up structure outside that is bonded in described at least one aperture is shaped on screw thread.
31. improvement as claimed in claim 29, wherein said passage are formed with the latch-up structure engages aperture of a plurality of linear alignments in the above.
33. improvement as claimed in claim 31, wherein said latch-up structure are the locking pins.
34. improvement as claimed in claim 33 all has female thread above each in the latch-up structure engages aperture of wherein said a plurality of linear alignments, and described stop pin nails on mask external screw thread is arranged.
CNB028231325A 2001-10-12 2002-10-07 Orthodontic appliance contraction connector Expired - Fee Related CN100346752C (en)

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CN102458297A (en) * 2009-04-14 2012-05-16 3M创新有限公司 Interarch force module with link for orthodontic treatment
CN102458297B (en) * 2009-04-14 2015-04-01 3M创新有限公司 Interarch force module with link for orthodontic treatment
CN108472104A (en) * 2016-01-04 2018-08-31 3M创新有限公司 Link-type connection for the correction of correction Group III
CN108472104B (en) * 2016-01-04 2021-04-20 3M创新有限公司 Connecting rod type connecting device for orthodontic III correction

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AU2002335795B2 (en) 2007-10-25
JP4472987B2 (en) 2010-06-02
MXPA04003362A (en) 2004-11-29
CA2461762C (en) 2010-09-14
US6719557B1 (en) 2004-04-13
BR0213251A (en) 2006-05-23
WO2003032859A1 (en) 2003-04-24
US20020025502A1 (en) 2002-02-28
EP1450719A4 (en) 2006-11-02
WO2003032859A9 (en) 2004-05-27
JP2005506127A (en) 2005-03-03
CN100346752C (en) 2007-11-07
EP1450719A1 (en) 2004-09-01
CA2461762A1 (en) 2003-04-24

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